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Hawaii rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.17 / $2.17 / $2.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.95 / $3.95 / $3.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.41 / $3.41 / $5.47
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.97 / $5.20 / $5.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.48 / $4.97 / $6.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.70 / $3.95 / $5.47
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.38 / $4.13 / $4.73